Outline

One of the main challenges facing the surgeon dealing with open globe injuries is retinal detachment. This may occur as a result of retinal incarceration in a scleral wound or at a later date as fibrotic reactions develop. Although each trauma case has peculiarities of its own, estabilishing general guidelines and a mental framework in which to move will help surgeons cope with such diverse situations. Aim of the paper is to discuss the causes of traumatic retinal detachment and the rationale behind the surgical strategies adopted in each case.